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超重/肥胖患者牙周炎炎症表面面积与血清和唾液中 IL-1β、内脂素和网膜素-1 水平的相关性研究

Is periodontal inflamed surface area associated with serum and salivary levels of IL-1β, visfatin, and omentin-1 in overweight/obese patients?

机构信息

Department of Periodontology, Faculty of Dentistry, Hatay Mustafa Kemal University, Hatay, Turkey.

Department of Clinical Microbiology, Faculty of Medicine, Hatay Mustafa Kemal University, Hatay, Turkey.

出版信息

Clin Oral Investig. 2022 Aug;26(8):5351-5358. doi: 10.1007/s00784-022-04502-0. Epub 2022 Apr 22.

DOI:10.1007/s00784-022-04502-0
PMID:35451654
Abstract

OBJECTIVES

The aim of this study was to evaluate the levels of salivary and serum interleukin (IL)-1β, visfatin, and omentin-1 in the relationship between periodontal disease and overweight/obesity as well as to reveal the possible role of periodontal inflamed surface area (PISA) in this association.

MATERIALS AND METHODS

Ninety-six individuals (69 females, 27 males) were divided into 4 groups as systemically healthy (H) and non-periodontitis (HnP, n = 23), systemically healthy and periodontitis (HP, n = 24), overweight/obese (O) and non-periodontitis (OnP, n = 25), and overweight/obese and periodontitis (OP, n = 24). Periodontal parameters were measured, and PISA was calculated. IL-1β, visfatin, and omentin-1 levels in saliva and serum samples were analysed.

RESULTS

Periodontal parameters deteriorated, salivary and serum IL-1β and visfatin levels were increased, and omentin-1 levels were decreased in OnP and OP groups, compared to HnP and HP groups. Salivary and serum IL-1β and visfatin levels were increased and omentin-1 levels were decreased in periodontitis groups, compared to HnP and OnP groups. PISA was negatively correlated with salivary omentin-1 and positively correlated with salivary and serum visfatin in H and O groups, whereas a positive relationship was found between PISA and salivary and serum IL-1β in H group.

CONCLUSIONS

PISA may be negatively associated with salivary omentin-1, while positively correlated with salivary and serum visfatin in overweight/obese patients.

CLINICAL RELEVANCE

Co-evaluation of PISA and adipokines seems to be an innovative approach to evaluate the association between periodontitis and overweight/obesity.

摘要

目的

本研究旨在评估唾液和血清白细胞介素(IL)-1β、内脏脂肪素和网膜素-1水平在牙周病与超重/肥胖之间的关系,并揭示牙周炎炎症表面面积(PISA)在这种关联中的可能作用。

材料和方法

96 名个体(69 名女性,27 名男性)分为 4 组:全身健康且无牙周炎(HnP,n=23)、全身健康且牙周炎(HP,n=24)、超重/肥胖且无牙周炎(OnP,n=25)和超重/肥胖且牙周炎(OP,n=24)。测量牙周参数并计算 PISA。分析唾液和血清样本中 IL-1β、内脏脂肪素和网膜素-1的水平。

结果

与 HnP 和 HP 组相比,OnP 和 OP 组的牙周参数恶化,唾液和血清 IL-1β 和内脏脂肪素水平升高,网膜素-1水平降低。与 HnP 和 OnP 组相比,牙周炎组的唾液和血清 IL-1β 和内脏脂肪素水平升高,网膜素-1水平降低。在 H 和 O 组中,PISA 与唾液网膜素-1呈负相关,与唾液和血清内脏脂肪素呈正相关,而在 H 组中,PISA 与唾液和血清 IL-1β 呈正相关。

结论

在超重/肥胖患者中,PISA 可能与唾液网膜素-1呈负相关,与唾液和血清内脏脂肪素呈正相关。

临床意义

同时评估 PISA 和脂肪因子似乎是评估牙周炎与超重/肥胖之间关系的一种创新方法。

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本文引用的文献

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J Indian Soc Periodontol. 2020 May-Jun;24(3):191-215. doi: 10.4103/jisp.jisp_512_19. Epub 2020 May 4.
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Correlation of serum adipocytokine levels with glycolipid metabolism and inflammatory factors in obese patients with periodontal disease.肥胖牙周病患者血清脂肪细胞因子水平与糖脂代谢及炎症因子的相关性
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Interleukin-1β is a potential therapeutic target for periodontitis: a narrative review.
不同体重诊断且牙周状况相似的患者的炎症特征:一项系统评价
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Retinol-Binding Protein 4 and Visfatin Levels in Patients with Periodontitis and Obesity/Overweight: A Systematic Review and Meta-Analysis.牙周炎与肥胖/超重患者的视黄醇结合蛋白4和内脂素水平:一项系统评价与荟萃分析
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PLoS One. 2023 Nov 7;18(11):e0293368. doi: 10.1371/journal.pone.0293368. eCollection 2023.
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